Diabetes mellitus is independently associated with new-onset atrial fibrillation and contributes to increased risks of thromboembolic events, heart failure, and mortality.
This review highlights the strong association between diabetes mellitus and atrial fibrillation, emphasizing the need for further trials to explore the benefits of novel anti-diabetic medications in reducing incident AF.
INTRODUCTION: A growing body of evidence suggests that diabetes mellitus (DM) is associated with an increased risk of new-onset atrial fibrillation (AF) and contributes to suboptimal arrhythmia control and poor prognosis in patients with AF. The high prevalence of AF among patients with DM is primarily attributed to common risk factors, shared pathophysiological mechanisms, and associated atrial remodeling and autonomic dysfunction. AREAS COVERED: This comprehensive review covers the current data on the role of DM in the development and prognosis of AF. In addition, we review the impact of anti-DM medications on AF prevention and the role of anticoagulation in patients with coexisting DM and AF. EXPERT OPINION: DM is independently associated with new-onset AF, and the coexistence of these two conditions contributes to poor outcomes, from reduced quality of life to increased risks of thromboembolic events, heart failure, and mortality. Despite this strong link, the current evidence is insufficient to recommend routine screening for AF in patients with DM. Although some observations exist on preventing AF with anti-DM medications, randomized controlled trials are warranted to explore the proposed benefits of novel anti-DM medicines in reducing the risk of incident AF.
Yildiz et al. (Fri,) conducted a review in Diabetes mellitus and atrial fibrillation. Diabetes mellitus was evaluated. Diabetes mellitus is independently associated with new-onset atrial fibrillation and contributes to increased risks of thromboembolic events, heart failure, and mortality.
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